{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T03:42:00Z","timestamp":1793245320959,"version":"4.5.0"},"reference-count":12,"publisher":"Bentham Science Publishers Ltd.","issue":"1","license":[{"start":{"date-parts":[[2013,1,16]],"date-time":"2013-01-16T00:00:00Z","timestamp":1358294400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/2.5\/"}],"content-domain":{"domain":["openorthopaedicsjournal.com","benthamopen.com"],"crossmark-restriction":true},"short-container-title":["TOORTHJ"],"published-print":{"date-parts":[[2013,1,16]]},"abstract":"\n Background:<\/jats:title>\n Femoral shaft fracture is the most common major paediatric orthopaedic. For generations traction and casting was the standard treatment for all femoral shaft fractures in children. Over the past two decades the advantages of fixation and rapid mobilisation have been increasingly recognised.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n A prospective study was conducted in five private hospitals in the district of Bankura, West Bengal over a period of two years (April 2010 to March 2012) on 70 patients with closed shaft femur fractures between 6- 14 years age of either sex. The aim was to find out the short term complications of titanium elastic nailing in diaphyseal fracture of femur in children and compare the findings of this study with pre- existing studies in this field.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n In our study the most common complication was pain at nail entry site (60%). 5.71% had local inflammatory reaction due to nails. Superficial infection occurred in 2.85%. At the end of 1 year, 2.85% had limb length discripancies. Proximal migration occurred in 2.85%. 2.85% encountered acute reactive synovitis, 5.71% developed angulation of fracture site and 2.85% developed per operative breakage of nail.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The treatment of paediatric shaft femur fracture has been drastically changed over the last two decades to internal fixation by elastically stable intra- medullary nail (ESIN). In our study, we encountered only a few complications most of them being minor. Most of the complications were surgical technique related and were seen at the initial phase of the learning curve.<\/jats:p>\n <\/jats:sec>","DOI":"10.2174\/1874325001307010012","type":"journal-article","created":{"date-parts":[[2013,1,18]],"date-time":"2013-01-18T05:40:18Z","timestamp":1358487618000},"page":"12-17","update-policy":"https:\/\/doi.org\/10.2174\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["TITANIUM ELASTIC NAIL - COMPLICATIONS IN THE TREATMENT OF PAEDIATRIC DIAPHYSEAL FRACTURE OF FEMUR\u00a7"],"prefix":"10.2174","volume":"7","author":[{"given":"Saikat","family":"Sarkar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranadeb","family":"Bandyopadhyay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arindam","family":"Mukherjee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"965","reference":[{"key":"refR1","doi-asserted-by":"crossref","first-page":"347","DOI":"10.5435\/00124635-200409000-00009","volume":"12","author":"Flynn JM","year":"2004","unstructured":"Flynn JM, Schewend RM. \n Management of paediatric femoral shaft fractures \n J Am Acad Ortho Surg \n 2004; \n 12\n (5\n )\n : 347-59.","journal-title":"J Am Acad Ortho Surg"},{"key":"refR2","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1097\/01.bpo.0000230335.19029.ab","volume":"26","author":"Loder RT","year":"2006","unstructured":"Loder RT, O\u2019Donnel PW, Finberg JR. \n Epidemiology and mechanism of femur fracture in children \n J Pediatr Orthop \n 2006; \n 26\n (5\n )\n : 561-6.","journal-title":"J Pediatr Orthop"},{"key":"refR3","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1097\/BPO.0b013e3180326713","volume":"27","author":"Bopst L","year":"2007","unstructured":"Bopst L, Reinburg O, Lutz N. \n Femur fracture in pre- school children; experience with flexible intra- medullary nailing in 72 children \n J Pediatr Orthop \n 2007; \n 27\n (3\n )\n : 299-303.","journal-title":"J Pediatr Orthop"},{"key":"refR4","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1097\/01202412-199707000-00008","volume":"6","author":"Mazda K","year":"1997","unstructured":"Mazda K, Khairouni A, Pennecot GF, et al. \n Closed flexible intramedullary nailing of femoral shaft fracture in children \n Pediatr Orthop B \n 1997; \n 6\n (3\n )\n : 198-202.","journal-title":"Pediatr Orthop B"},{"key":"refR5","doi-asserted-by":"crossref","first-page":"770","DOI":"10.2106\/00004623-200404000-00015","volume":"86","author":"Flynn JM","year":"2004","unstructured":"Flynn JM, Luedtke LM, Ganly TG, et al. \n Comparison of titanium elastic nails with traction and spica cast to treat femoral fractures in children \n J Bone Joint Surg AM \n 2004; \n 86\n : 770-.","journal-title":"J Bone Joint Surg AM"},{"key":"refR6","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1097\/01.bpo.0000230329.06460.f7","volume":"26","author":"Narayanan UJ","year":"2006","unstructured":"Narayanan UJ, Hyman JE, Wainwright AM, et al. \n Complications of elastic stable intra- medullary nail fixation of paediatric femoral fractures and how to avoid them \n J Pediatr Orthop \n 2006; \n 26\n (5\n )\n : 567-72.","journal-title":"J Pediatr Orthop"},{"key":"refR7","first-page":"442","volume":"23","author":"Luhmann SJ","year":"2003","unstructured":"Luhmann SJ, Schootman M, Schoenecker PL, et al. \n Complications of titanium elastic nails for paediatric femoral shaft fractures \n J Pediatr Orthop \n 2003; \n 23\n (4\n )\n : 442-7.","journal-title":"J Pediatr Orthop"},{"key":"refR8","doi-asserted-by":"crossref","first-page":"1361","DOI":"10.1302\/0301-620X.88B10.17517","volume":"88","author":"Moroz LA","year":"2006","unstructured":"Moroz LA, Launay F, Kocher MS, et al. \n Titanium elastic nailing of fractures of the femur in children. Predictors of complication and poor outcome \n J Bone Joint Surg Br \n 2006; \n 88\n (10\n )\n : 1361-6.","journal-title":"J Bone Joint Surg Br"},{"key":"refR9","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1097\/01.bpo.0000226280.93577.c1","volume":"26","author":"Ho CA","year":"2006","unstructured":"Ho CA, Skaggs DL, Tang CW, et al. \n Use of flexible intramedullary nails in paediatric femur fractures \n J Pediatr Orthop \n 2006; \n 26\n (4\n )\n : 497-504.","journal-title":"J Pediatr Orthop"},{"key":"refR10","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1080\/00016470410001150","volume":"75","author":"Houshian S","year":"2004","unstructured":"Houshian S, Gothgen CB, Padersen NW, et al. \n Femoral shaft fractures in children. Elastic stable intr- medullary nailing in 31 cases \n Acta Orthop Scada \n 2004; \n 75\n (3\n )\n : 249-51.","journal-title":"Acta Orthop Scada"},{"key":"refR11","doi-asserted-by":"crossref","first-page":"770","DOI":"10.2106\/00004623-200404000-00015","volume":"86","author":"Hedin H","year":"2004","unstructured":"Hedin H, Bergquist L, Larssen S. \n A cost analysis of three method of treating femoral shaft fractures in children \n J Bone Joint Surg (Am) \n 2004; \n 86\n : 770-.","journal-title":"J Bone Joint Surg (Am)"},{"key":"refR12","unstructured":"John MF, David LS. \n Femoral shaft fractures Rockwood and Wilkins\u2019 Fractures in children. 7th ed. \n China: Lippincott Williams and Wilkins 2010; 22: pp. \n \n \n \n \n 797-841."}],"container-title":["The Open Orthopaedics Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/openorthopaedicsjournal.com\/contents\/volumes\/V7\/TOORTHJ-7-12\/TOORTHJ-7-12.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/openorthopaedicsjournal.com\/contents\/volumes\/V7\/TOORTHJ-7-12\/TOORTHJ-7-12.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/openorthopaedicsjournal.com\/contents\/volumes\/V7\/TOORTHJ-7-12\/TOORTHJ-7-12.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,3,22]],"date-time":"2019-03-22T10:55:31Z","timestamp":1553252131000},"score":1,"resource":{"primary":{"URL":"https:\/\/openorthopaedicsjournal.com\/VOLUME\/7\/PAGE\/12\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1,16]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,1,16]]}},"alternative-id":["TOORTHJ-7-12"],"URL":"https:\/\/doi.org\/10.2174\/1874325001307010012","relation":{},"ISSN":["1874-3250"],"issn-type":[{"value":"1874-3250","type":"print"}],"subject":[],"published":{"date-parts":[[2013,1,16]]},"assertion":[{"value":"Peer Reviewed","order":0,"name":"review_status","label":"Review Status","group":{"name":"peer_review_details","label":"Peer Review Details"}},{"value":"Single blind","order":1,"name":"review_process","label":"Review Process","group":{"name":"peer_review_details","label":"Peer Review Details"}},{"value":"Checked with iThenticate","order":0,"name":"screening_status","label":"Screening Status","group":{"name":"plagiarism_screening","label":"Plagiarism Screening"}},{"value":"2012-5-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-12-9","order":1,"name":"revised","label":"Revised","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-12-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-1-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}